PREMIER CARE HOMECARE, LLC – Home Health Agency, NPI 1619990595

PREMIER CARE HOMECARE, LLC is a healthcare provider. based in Leesburg, Florida. specializing in Home Health Agency. The organization holds a License No. 299992468 (FL). The NPI Number for PREMIER CARE HOMECARE, LLC is 1619990595

Main info

Organization
Name
PREMIER CARE HOMECARE, LLC
NPI
1619990595
Phone
(352) 365-7850
Address
1218 W DIXIE AVE STE B
Authorized Official
MR. BAHAA REFAT GERGES CHIEF FINANCIAL OFFICER PT
Enumeration Date
25 July 2006
Last Update Date
27 December 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for PREMIER CARE HOMECARE, LLC

  • 1218 W DIXIE AVE STE B

    LEESBURG, FL 347486380

    Phone: (352) 365-7850

    Fax: (352) 365-7856

    Type: Mailing

  • 1711, Citrus Boulevard, Leesburg, Lake County, Florida, 34731, United States

    LEESBURG, FL 347483423

    Phone: (352) 365-7850

    Fax: (352) 365-7856

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20070312000311OHome Health AgencyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34748)

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Reviews

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Frequently asked questions

How do I look up PREMIER CARE HOMECARE, LLC by NPI?
Use NPI 1619990595 when you need to reference PREMIER CARE HOMECARE, LLC in forms, claims, or directories.
Is PREMIER CARE HOMECARE, LLC currently active in the NPI registry?
CMS-published data lists PREMIER CARE HOMECARE, LLC as an active registrant.
What kind of provider is PREMIER CARE HOMECARE, LLC?
The page reflects Home Health Agency for PREMIER CARE HOMECARE, LLC. Clinical services aligned with this taxonomy classification.
What location metadata exists for PREMIER CARE HOMECARE, LLC?
The page summarizes Leesburg, Florida for PREMIER CARE HOMECARE, LLC; expand the address list for detail.
Is PREMIER CARE HOMECARE, LLC a real provider?
This page reflects official NPPES data for NPI 1619990595. Always confirm identity and privileges with the practice and licensing boards.

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